HomeMy Public PortalAbout5477 GOLDEN WEST AVE_Building__ 7 6A638 CE4803 5 65 APPLICATION FOR BU ILDIN PER IT
COUNTY OF LOS ANGELES .BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS "
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST )
COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST
DIST CT NO GROTYP PROCESSED BY
FOR APPLICANT TO FILL INCONST
BUILDING r STATISTICA CLASSIFICATION SEWER MAP
ADDRESS CLASS NO �' DWELL UNITS SK PG
-LOT NO BLOCK USE ZONE MAP ,/J^meq a
TRACT 5SPECIAL
NO OF BLDGS
�J CONDITIONS
SIZE OF LOT NOW ON LOT oG
USE OF
EXISTING BL//&b 16NOYARD
�J[� Y/�/� - BLDG SETBACK FROM .�1�•1� .,»/Jy�i// r�`
OWNER / C d� L FRONT PROP LINE OF K/ KEG ( - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS Q QK HIGHWAY WIDTH FROM C.L
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CITY
OR TEL BLDG ETBACK FROM
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TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ®[ �y / HIGHWAY WIDTH- FROM C L
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CONTRACTOR Q lO 04ejo NOL eo Zja + O
ADDRESS 'f�NO ..7 CORNER CUTOFF YES NO U
CITY .S�• -• r / �P/PL- 1�SS J SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
DESCRIPTION OF WORK .P1 �'` 1�i P�� a
NEW ADD �•� ALTER REPAIR DEMOLISH
SQ.FT NO OF NO- OF T �C�4�f�,,,•
SIZE - STORIES FAMILIES
USE OF
STRUCTURE,foM
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SIGNATURE OF
APPLICANT �7
VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE
P C - PMT �-d FOUNDATION, LOCATION
FEE$ - FEE$ - FORMS, MATERIALS _ ("ZZ-(6(�
FRAME, FIRE STOPS, �"�--
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT ii r-
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK \`
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT
TION OF THE LABOR CODETHE STATE OF CALIFO RELAT-
ING TO WORKMEN S COMPE SA ION INSURANCE LATH EXT \
SIGNATURE OF HOUSE NUMBER COR-
PE,RMITTEE RECT AND POSTED
ADDRESS FINAL
�r @U JOHN F LEWIS PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 `� CASH
,!5L&O9-0"338 NOV 18 1 D 6.00-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ) ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0901060001
PHONE (626) 285-0488 EXT
ILEGAL ID I NO OF CONST I BUILDING ADDRESS
ITR 13805 LT 69 I SQ FT STORIES TYPE 1 5477 GOLDEN WEST AV 1
I ISTRUCTURE 1800 V-B I TEMP CA 917803219 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18588-022-019 I I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl
ITENANT _ (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1
(EXIST OCC GRP 101/06/09 SR
(OWNER TEL NO 1BLDGS NOW ON LOT VALUATION I INAL DATE FINAL Y CODE 1
(THOMAS JEFFREY W - 1 5,870 1 1
15477 GOLDEN WEST AVE 1 I J
ITEMPLE CITY CA 91780 I FEES PAID ID SC IPTION F WORK 1
1 1TEAR'OFF (E) LAYERS OF ROOF HOUSE ONLY (COMP SHINGLE)
IFEE DESCRIPTION QUANTITY UOM AMOUNT• IRER06F W/30 YEAR CLASS A COMP SHINGLE REROOF FLAT ROOF TORCHI
(APPLICANT TEL NO 1 1 1
IMORRIS (714) 572-8714- IAA BLDG PERMIT ISSUANCE 27 75 I 1
12138 TYNES DR IAB STATE GREEN BLDG FEE 5870 00 VAL 1 50 ISPECIAL CONDITIONS
IPLACENTIA CA 92870 IAC STRONG MOTION RESID 5870 00 VAL 0.59 1 '
ID2 PERMIT W/O EN-HC 5870 00 VAL 149 40 1t`
1 1 FR INV WORK W/O PERMIT 257 00 DOL 257 00 1 ��/1_('__
(CONTRACTOR TEL NO TOTAL FEES 436 24 (APPROVALS DATE INSPECTOR SIGNATURE
IMORRIS COMMERCIAL ROOFING, INC (714) 572-8714- I I 1
12138 TYNES DR LIC NO 1 ILOCAIION AND SETBACKS 1 1 1
PLACENTIA CA 92870 667623 C39
1 ISOIES ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I
LIC. NO ISLABUNDER FLOOR
RAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK- PAGE FIRE ZONE CMP.1 (UNDERFLOOR INSULATION I
1147H269 3 001 1-1 1
IFLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1 1 1 1 1
NO 21 - IROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1
(AIR QUALITY 1000 FEET MATERIALS I I I 1 1
NO NO NO 1 IFRANE INSPECTION I 1 I
IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I 1
ISET BACK YARD HWY: PROP LINE WIDTH. 1 I t I
IFRONT PL- 1 11NSLLATION/WEATHER STRIPI 1 1
I SIDE PL- 1 1 11 1
11NTERIOR.LATH/DRYWALL
IEXTERIOR LATH
1 1RATED FLOOR/CEIL ASSEM.
I 11 (RATED WALL ASSEMBLIES 1 I 1
IRATED SHAFTS/OPENINGS I 1
I T,BAR CEILINGS 1 1
* ADDITIONAL DATA ON FILE I 1 1
ILOT DRAINAGE I
IREPORT ID DPR261 ROUTE TO BS0508
i I I I I I